Are you taking up a new professional assignment? If you are, it would be prudent to check whether the company is providing a group health insurance plan for you and your family! This would be especially relevant if you do not have a family health plan of your own!
Maybe you are in an organization that is planning on selecting an appropriate group health insurance plan. You could contribute immensely by helping your company make the right choice.
Choosing a Group Health Insurance Plan: Desired Features
Whether or not you are part of the decision making team, it is important for you to understand the various features of a sound group health insurance plan.
• The cover should be comprehensive. All your expenses, beginning from the time you step inside the hospital and till the time you step out, should be covered. A good health insurance policy would specify the cost heads it covers. The categories may include boarding and room expenses, nursing charges, surgeon fees in case of surgery, fees charged by the medical consultant and practitioner and the anesthetist, fees to be paid for specialists, anesthesia charges, charges for oxygen, blood as well as operation theatre, charges to be paid for surgical appliances, diagnostics, medicines, dialysis, X rays, medicines, chemotherapy and so on.
• The health insurance policy should offer complete cashless facility. This way you can eliminate the trouble of direct settlement and documentation at a time when there could be significant mental distress. The bills would be settled directly between the hospital and the insurance company.
• You should seek compensation of illness related expenses during the pre and post hospitalization period for a period of 30 and 60 days, respectively.
• You should be able to avail of maternity benefit in case additional premium has been paid.
• Expenses incurred in hospitalization for less than 24 hours should also be covered. You may require short hospitalizations for procedures like chemotherapy, dialysis, radio therapy, lithotripsy, tonsillectomy, dental surgery, eye surgery and so on.
Whether you are a part of a family health plan or a group health insurance plan offered by the company you are working for, check on the actual nature of offerings before signing on the dotted line.
Check the specific features of the group health insurance plan your company is offering. In case the plan is not good, you can advise your organization to switch to a more comprehensive plan from a reputed provider.
Maybe you are in an organization that is planning on selecting an appropriate group health insurance plan. You could contribute immensely by helping your company make the right choice.
Choosing a Group Health Insurance Plan: Desired Features
Whether or not you are part of the decision making team, it is important for you to understand the various features of a sound group health insurance plan.
• The cover should be comprehensive. All your expenses, beginning from the time you step inside the hospital and till the time you step out, should be covered. A good health insurance policy would specify the cost heads it covers. The categories may include boarding and room expenses, nursing charges, surgeon fees in case of surgery, fees charged by the medical consultant and practitioner and the anesthetist, fees to be paid for specialists, anesthesia charges, charges for oxygen, blood as well as operation theatre, charges to be paid for surgical appliances, diagnostics, medicines, dialysis, X rays, medicines, chemotherapy and so on.
• The health insurance policy should offer complete cashless facility. This way you can eliminate the trouble of direct settlement and documentation at a time when there could be significant mental distress. The bills would be settled directly between the hospital and the insurance company.
• You should seek compensation of illness related expenses during the pre and post hospitalization period for a period of 30 and 60 days, respectively.
• You should be able to avail of maternity benefit in case additional premium has been paid.
• Expenses incurred in hospitalization for less than 24 hours should also be covered. You may require short hospitalizations for procedures like chemotherapy, dialysis, radio therapy, lithotripsy, tonsillectomy, dental surgery, eye surgery and so on.
Whether you are a part of a family health plan or a group health insurance plan offered by the company you are working for, check on the actual nature of offerings before signing on the dotted line.
Check the specific features of the group health insurance plan your company is offering. In case the plan is not good, you can advise your organization to switch to a more comprehensive plan from a reputed provider.

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